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Operating Room Procedure with Mental Illness Diagnosis

Wisconsin rates for MS-DRG 876

O.R. Procedures with Principal Diagnosis of Mental Illness

Rates data updated July 2026.

How much does Operating Room Procedure with Mental Illness Diagnosis cost?

$69,183

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $69,183 for this service. Most negotiated rates run $46,774 to $85,114.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69,183 · 10th to 90th $7,413 to $104,713
$500$2K$10K$50Kfacility $69,183

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$69,183.10
Typical High
$72,443.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$70,794.58
Typical High
$107,151.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$50,118.72
Typical High
$60,255.96
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$57,543.99
Typical High
$74,131.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$67,608.30
Typical High
$112,201.85
Network Health
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$7,585.78
Quartz
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$41,686.94
Typical High
$57,543.99
Security Health
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$79,432.82
Typical High
$83,176.38
United
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$72,443.60
Typical High
$91,201.08

Where Wisconsin sits

The same service costs 4.7 times more in Vermont than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 13th of 51

$69,183

VT $100,000MI $21,380

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.